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WO1993007865A1 - Di-tert-butylphenol compounds useful as anti-inflammatory agents - Google Patents

Di-tert-butylphenol compounds useful as anti-inflammatory agents Download PDF

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Publication number
WO1993007865A1
WO1993007865A1 PCT/US1992/008742 US9208742W WO9307865A1 WO 1993007865 A1 WO1993007865 A1 WO 1993007865A1 US 9208742 W US9208742 W US 9208742W WO 9307865 A1 WO9307865 A1 WO 9307865A1
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WO
WIPO (PCT)
Prior art keywords
compound
dimethylethyl
bis
pharmaceutically
hydroxyphenyl
Prior art date
Application number
PCT/US1992/008742
Other languages
French (fr)
Inventor
Roy Lee Martin Dobson
Kenneth Robert Wehmeyer
Steven Peter Sirko
Benjamin Franklin Floyd
Original Assignee
The Procter & Gamble Company
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Filing date
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Publication of WO1993007865A1 publication Critical patent/WO1993007865A1/en

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00—Medicinal preparations containing organic active ingredients
    • A61K31/185—Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
    • A61K31/19—Carboxylic acids, e.g. valproic acid
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00—Medicinal preparations containing organic active ingredients
    • A61K31/16—Amides, e.g. hydroxamic acids
    • A61K31/165—Amides, e.g. hydroxamic acids having aromatic rings, e.g. colchicine, atenolol, progabide
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07C—ACYCLIC OR CARBOCYCLIC COMPOUNDS
    • C07C235/00—Carboxylic acid amides, the carbon skeleton of the acid part being further substituted by oxygen atoms
    • C07C235/70—Carboxylic acid amides, the carbon skeleton of the acid part being further substituted by oxygen atoms having carbon atoms of carboxamide groups and doubly-bound oxygen atoms bound to the same carbon skeleton
    • C07C235/72—Carboxylic acid amides, the carbon skeleton of the acid part being further substituted by oxygen atoms having carbon atoms of carboxamide groups and doubly-bound oxygen atoms bound to the same carbon skeleton with the carbon atoms of the carboxamide groups bound to acyclic carbon atoms
    • C07C235/76—Carboxylic acid amides, the carbon skeleton of the acid part being further substituted by oxygen atoms having carbon atoms of carboxamide groups and doubly-bound oxygen atoms bound to the same carbon skeleton with the carbon atoms of the carboxamide groups bound to acyclic carbon atoms of an unsaturated carbon skeleton
    • C07C235/78—Carboxylic acid amides, the carbon skeleton of the acid part being further substituted by oxygen atoms having carbon atoms of carboxamide groups and doubly-bound oxygen atoms bound to the same carbon skeleton with the carbon atoms of the carboxamide groups bound to acyclic carbon atoms of an unsaturated carbon skeleton the carbon skeleton containing rings

Definitions

  • the subject invention relates to nonsteroidal anti-inflammatory drugs, particularly to substituted di-tert-butyiphenol compounds.
  • BACKGROUND OF THE INVENTION Certain di-tert-butylphenol compounds and other compounds structurally related thereto have been found to have significant anti- inflammatory and/or analgesic activity. Such compounds are disclosed in the following references: U.S. Patent No. 3,784,701 issued to Tomcufcik, Grassing & Sloboda on January 8, 1974; U.S. Patent No. 4,124,725 issued to Moore on November 7, 1978; U.S. Patent No. 4,130,666 issued to Moore on December 19, 1978; U.S. Patent No.
  • the subject invention invofves compositions comprising 4-(3,5- bis(1,1-dimethylethyl)-4-hydroxyphenyl)-4-oxobutanoic acid, and phar ⁇ maceutically-acceptable salts thereof, or 4-(3,5-bis(1,1-dimethylethyl)- 4-hydroxyphenyl)-4-oxobutanam ⁇ de, and a pharmaceutical ly-accept- able carrier.
  • the subject invention also involves methods for treating diseases characterized by inflammation and/or pain, such as rheumatoid arthritis and osteoarthrit ⁇ s, in humans or lower animals by administration of a safe and effective amount of this compound to the human or lower animal in need of such treatment.
  • the subject invention involves a particular di-tert-butylphenol com ⁇ pound having the following structure:
  • pharmaceutically-acceptable salts means the acid Compound in its salt forms which have the same general pharmacological properties as the protonated form of such
  • Pharmaceutically-acceptable salts include alkali metal (e.g., sodium and potassium), alkaline earth metal (e.g., calcium and magnesium), non-toxic heavy metal (e.g., stannous and indium), and ammonium and low molecular weight substituted ammonium (mono-, di- and tri-methyl or ethyl ammonium) salts. Preferred are the sodium, potassium, and ammonium salts.
  • the acid Compound is disclosed as a starting material in "Dreher, E.L., J. Bracht, M. El-Mobayed, P. Huetter, W. Winter & A. Rieker, "Electrochemical Oxidation. VII. Synthesis and Structure of 7- tert-butvl-2-methvlbenzoxazoles". Chem. Ber.. Vol. 115, No. 1 (1982), pp. 288-308. (See page 288, compound 1e).
  • the acid Compound and a method for synthesizing it are disclosed in Portnykh, N.V., A. A. Volod'kin & V.V. Ershov, "New Functional Derivatives of Sterically Hindered Phenols", Izv. Akad. Nauk. SSSR. Ser. Khim.. Vol. 4 (April,
  • the acid Compound is referred to therein as g-(4- hydroxy-3,5-di-tert-butyl phenyl)-g-ketobutyric acid.
  • the amide Compound is believed to be a novel compound.
  • testing of the Compounds in animals is carried out using various assays known to those skilled in the art.
  • the anti-inflammatory activity of the Compounds can be conveniently demonstrated using an assay designed to test the ability of the Compounds to antagonize the local edema which is characteristic of the inflammatory response. Examples of such known tests include the rat carrageenan edema test, the oxazolone-induced inflamed mouse ear test, and the mouse arachadonic acid-induced inflamed ear test.
  • Analgesic activity may be tested in art-known models such as the acetylcholine abdominal constriction model in mice, the Randall-Selitto model in rats, and the hot-plate test in mice or rats.
  • Another useful art-known test is the rat adjuvant arthritis test which is a useful model for assessing anti- inflammatory activity, anti-arthritic and anti-resorptive activity in a chronic, rather than an acute, model.
  • compound (1) (1.6 gm, 5.0 mmol) and about 20 ml of methanol, stirring until compound (1) is dissolved.
  • KOH (0.56 gm, 10 mmol) is added. The solution is heated with stirring to dissolve the KOH pellets. The solution is allowed to stir overnight.
  • reaction solution is transferred to a 250 ml flask.
  • the solvent is removed in vacuo.
  • the resulting white solid is transferred to a conical flask; concentrated (12N) HCI is added; and the material is transferred to a separatory funnel.
  • the material is washed two times with water, dried, and concentrated in vacuo.
  • the concentrate is dissolved in hot hexane. The volume is reduced to about 25 mL in vacuo, and the solution is cooled, resulting in crystallization.
  • the crystals of compound (2) above the acid
  • the acid Compound (2.0 g, 6.5 mmol) and N,N'- dicyclohexylcarbodiimide (1.6 g, 7.8 mmol) are added to a 100 mL round-bottom flask, and 20 mL of CH2CI2 is added. The solution is cooled to 0°C, and an excess of ammonia (condensed by passing ammonia gas into CH2CI2 cooled to -78°C) is added in one portion.
  • compositions of the subject invention comprise a safe and effective amount of the Compounds, or a pharmaceutically-acceptable salt of the acid Compound, and a pharmaceutically-acceptable carrier.
  • safe and effective amount means an amount of a Compound sufficient to significantly induce a positive modification in the condition to be treated, but low enough to avoid serious side effects (at a reasonable benefit/risk ratio), within the scope of sound medical judgement.
  • a safe and effective amount of a Compound will vary with the particular condition being treated, the age and physical condition of the patient being treated, the severity of the condition, the duration of the treatment, the nature of concurrent therapy, the particular pharmaceutically-acceptable carrier utilized, and like factors within the knowledge and expertise of the attending physician.
  • compositions of the subject invention preferably comprise from about 0.1% to about 99.9% by weight of a Compound, more preferably from about 20% to about 80%, and most preferably from about 40% to about 70%.
  • compositions of the subject invention contain a pharmaceutically-acceptable carrier.
  • pharmaceutically-acceptable carrier means one or more compatible solid or liquid filler diluents or encapsulating substances which are suitable for administration to a human or lower animal.
  • compatible means that the components of the composition are capable of being commingled with the Compound, and with each other, in a manner such that there is no interaction which would substantially reduce the pharmaceutical efficacy of the composition under ordinary use situations.
  • Pharmaceutically-acceptable carriers must, of course, be of sufficiently high purity and sufficiently low toxicity to render them suitable for administration to the human or lower animal being treated.
  • substances which can serve as pharmaceutically-acceptable carriers or components thereof are sugars, such as lactose, glucose and sucrose; starches, such as comstarch and potato starch; cellulose and its derivatives, such as sodium carboxymethyl cellulose, ethyl cellulose, cellulose acetate; powdered tragacanth; malt; gelatin; talc; solid lubricants, such as stearic acid, magnesium stearate; calcium sulfate; vegetable oils, such as peanut oil, cottonseed oil, sesame oil, olive oil, corn oil and oil of theobroma; polyols such as propylene glycol, glycerin, sorbitol, mannitol, and polyethylene glycol; algenic acid; emulsifiers, such as the Tweens®; wetting agents such as sodium lauryl sulfate; coloring agents; flavoring agents, excipients; tableting agents; stabilizers; antioxidants; preservatives;
  • a pharmaceutically-acceptable carrier to be used in conjunction with a Compound is basically determined by the way the Compound is to be administered.
  • the preferred pharmaceutically-acceptable carrier is sterile, physiological saline, with blood compatible suspending agent, the pH of which has been adjusted to about 7.4.
  • Suitable pharmaceutically-acceptable carriers for topical application include those suited for use in lotions, creams, gels and the like. Topical compositions preferably contain from about 1 % to about 50% of an emollient.
  • the preferred mode of administering the Compound is orally.
  • the preferred unit dosage form is therefore tablets, capsules and the like, comprising a safe and effective amount of the Compound, which is preferably from about 5 mg to about 3500 mg, more preferably from about 10 mg to about 1000 mg, and most preferably from about 25 mg to about 600 mg.
  • the pharmaceutically-acceptable carriers suitable for the preparation of unit dosage forms for oral administration are well- known in the art. Their selection will depend on secondary considerations like taste, cost, and shelf stability, which are not critical for the purposes of the subject invention, and can be made without difficulty by a person skilled in the art.
  • compositions of the subject invention are disclosed in pending U.S. Patent Application Serial Nos. 07/732,951 *of Kelm & Bruns, filed July
  • Another aspect of the subject invention is methods for treating diseases characterized by inflammation by administering a safe and effective amount of a Compound to a human or lower animal in need of such treatment.
  • the preferred mode of administration is oral, but other known methods of administration are contemplated as well, e.g., dermatomucosally (for example, dermally, rectalfy and the like) and perenterally (for example, by subcutaneous injection, intramuscular injection, intraarticular injection, intravenous injection and the like). Ocular administration and inhalation are also included.
  • specific modes of administration include, without limitation, oral, transdermal, mucosal, sublingual, intranasal, intramuscular, intravenous, intraperitoneal, subcutaneous and topical administration.
  • disease characterized by inflammation means conditions which are known to involve inflammation, such as arthritis (e.g., rheumatoid arthritis, osteoarthrit ⁇ s, psoriatic arthritis, juvenile arthritis, Reiter's syndrome, infectious arthritis, and ankylosing spondylit ⁇ s, systemic lupus, erythematosus and gout), as well as the presence of inflammation whether or not it is associated with an identifiable disease.
  • Diseases characterized by inflammation further include inflammation of the gastrointestinal tract, including the oral cavity (e.g., inflammation associated with gingivitis or periodontal disease) and bowels (e.g., inflammation associated with Inflammatory Bowel Disease); inflammation associated with dermatological diseases
  • Preferred doses of the Compounds range from about 0.2 mg/kg to about 70 mg/kg, more preferably from about 0.5 mg/kg to about 12 mg/kg. Such doses are preferably administered from about once to about six times daily, more preferably from about twice to about four times daily.
  • Example 1 illustrates the subject invention.
  • compositions in the form of tablets are prepared by conventional methods, such as mixing and direct compaction, formulated as follows:
  • Magnesium Stearate 3 When administered orally two times daily, the above composition significantly reduces the inflammation in a patient suffering from rheumatoid arthritis. A significant benefit is also achieved by twice daily administration of this composition to a patient suffering from osteoarthritis.
  • Example 2
  • a pharmaceutical composition in capsule form is prepared by conventional methods, formulated as follows:
  • the above capsule administered orally once a day substantially reduces the symptomology of a patient afflicted with rheumatoid arthritis or osteoarthritis.

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  • Chemical & Material Sciences (AREA)
  • Organic Chemistry (AREA)
  • Medicinal Chemistry (AREA)
  • Pharmacology & Pharmacy (AREA)
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  • Life Sciences & Earth Sciences (AREA)
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Abstract

The subject invention involves compositions comprising 4-(3,5-bis(1,1-dimethylethyl)-4-hydroxyphenyl)-4-oxobutanamide, or 4-(3,5-bis-(1,1-dimethylethyl)-4-hydroxyphenyl)-4-oxobutanoic acid and pharmaceutically-acceptable salts thereof, and a pharmaceutically-acceptable carrier. The subject invention also involves methods for treating diseases characterized by inflammation and/or pain, such as rheumatoid arthritis and osteoarthritis, in humans or lower animals by administration of a safe and effective amount of this compound to the human or lower animal in need of such treatment.

Description

DI-TERT-BUTY PHENOL COMPOUNDS USEFUL AS ANTI-INFLAMMATORY AGENTS
TECHNICAL FIELD
The subject invention relates to nonsteroidal anti-inflammatory drugs, particularly to substituted di-tert-butyiphenol compounds. BACKGROUND OF THE INVENTION Certain di-tert-butylphenol compounds and other compounds structurally related thereto have been found to have significant anti- inflammatory and/or analgesic activity. Such compounds are disclosed in the following references: U.S. Patent No. 3,784,701 issued to Tomcufcik, Grassing & Sloboda on January 8, 1974; U.S. Patent No. 4,124,725 issued to Moore on November 7, 1978; U.S. Patent No. 4,130,666 issued to Moore on December 19, 1978; U.S. Patent No.
4,535,165 issued to Moore on August 13, 1985; U.S. Patent No. 4,636,516 issued to Kubo, Isomura, Sakamoto & Homma on January 13, 1987; U.S. Patent No. 4,677,113 issued to Bell & Moore on June 30, 1987; U.S. Patent No. 4,708,966 issued to Loomans, Matthews & Miller on November 24, 1987; U.S. Patent No. 4,714,776 issued to Bell
& Moore on December 22, 1987; U.S. Patent No. 4,968,710 issued to Rustad on November 6, 1990; EPO Patent Application No. 0,211 ,670 of Panetta (Eli Lilly & Company), published February 25, 1987; EPO Patent Application No. 0,286,364 of Scherrer & Rustad (Riker Laboratories, Inc.), published October 12, 1988; Japanese Patent No.
80/15,460 of Noda, Nakagawa, Hirano, Tsuji & Ide (Jpn. Kokai, Tokkyo Koho), published February 2, 1980; Hidaka, Hosoe, Ariki, Takeo, Yamashita, Katsumi, Kondo, Yamashita & Watanabe, "Pharmacological Properties of a New Anti-inflammatory Compound, a- (3,5-di-tertbutyl-4-hydroxybenzylidene)-g-butyrolactone (KME-4), and its Inhibitory Effects on Prostaglandin Synthetase and 5-lipoxy- genase", Jpn. J. Pharmacol. Vol. 36, No. 1 (1984), pp. 77-85; and VanDerGoot, H., J.C. Eriks, P.J. VanRhijn-VanDerSchaar, O.P. Zuiderveld & WX Nauta, 'The Synthesis and Antiinflammatory Activity of Substituted 2-4-Hydroxyphenyl-1,3-indandiones", European Journal of Medicinal Chemistry. Vol. 13, No. 5 (1978), pp. 425-428. Although a number of di-tert-butylphenol compounds have been demonstrated to exhibit anti-inflammatory activity, many such compounds exhibit little or no anti-inflammatory activity. The unpredictability of this property makes it necessary to screen each compound of the class to determine whether it possesses such activity. ft is an object of the subject invention to provide a compound which has effective anti-inflammatory, analgesic and/or anti-arthritic activity.
It is a further object of the subject invention to provide methods for treating inflammation, pain and/or arthritis using the compound. SUMMARY OF THE INVENTION
The subject invention invofves compositions comprising 4-(3,5- bis(1,1-dimethylethyl)-4-hydroxyphenyl)-4-oxobutanoic acid, and phar¬ maceutically-acceptable salts thereof, or 4-(3,5-bis(1,1-dimethylethyl)- 4-hydroxyphenyl)-4-oxobutanamϊde, and a pharmaceutical ly-accept- able carrier. The subject invention also involves methods for treating diseases characterized by inflammation and/or pain, such as rheumatoid arthritis and osteoarthritϊs, in humans or lower animals by administration of a safe and effective amount of this compound to the human or lower animal in need of such treatment. DETAILED DESCRIPTION OF THE INVENTION
The subject invention involves a particular di-tert-butylphenol com¬ pound having the following structure:
Figure imgf000004_0001
wherein -Y is -OH or -NH2-
These compounds, 4-(3,5-bis(1,1-dimethylethyl)-4-hydroxy- phenyl4-oxobutanoic acid and 4-(3,5-bis(1,1-dimethylethyl)-4-hydroxy- phenyl-4-oxobutanamϊde (hereinafter the "acid Compound" and the "amide Compound", respectively, collectively the "Compounds"), and the pharmaceutically-acceptable salts of the acid Compound, have been found to be particularly useful anti-inflammatory agents.
The term "pharmaceutically-acceptable salts", as used herein, means the acid Compound in its salt forms which have the same general pharmacological properties as the protonated form of such
Compound, and which are acceptable from a toxicity viewpoint. Pharmaceutically-acceptable salts include alkali metal (e.g., sodium and potassium), alkaline earth metal (e.g., calcium and magnesium), non-toxic heavy metal (e.g., stannous and indium), and ammonium and low molecular weight substituted ammonium (mono-, di- and tri-methyl or ethyl ammonium) salts. Preferred are the sodium, potassium, and ammonium salts.
The acid Compound is disclosed as a starting material in "Dreher, E.L., J. Bracht, M. El-Mobayed, P. Huetter, W. Winter & A. Rieker, "Electrochemical Oxidation. VII. Synthesis and Structure of 7- tert-butvl-2-methvlbenzoxazoles". Chem. Ber.. Vol. 115, No. 1 (1982), pp. 288-308. (See page 288, compound 1e). The acid Compound and a method for synthesizing it are disclosed in Portnykh, N.V., A. A. Volod'kin & V.V. Ershov, "New Functional Derivatives of Sterically Hindered Phenols", Izv. Akad. Nauk. SSSR. Ser. Khim.. Vol. 4 (April,
1968), pp. 920-922. The acid Compound is referred to therein as g-(4- hydroxy-3,5-di-tert-butyl phenyl)-g-ketobutyric acid.
The amide Compound is believed to be a novel compound.
In order to determine and assess pharmacological activity, testing of the Compounds in animals is carried out using various assays known to those skilled in the art. The anti-inflammatory activity of the Compounds can be conveniently demonstrated using an assay designed to test the ability of the Compounds to antagonize the local edema which is characteristic of the inflammatory response. Examples of such known tests include the rat carrageenan edema test, the oxazolone-induced inflamed mouse ear test, and the mouse arachadonic acid-induced inflamed ear test. Analgesic activity may be tested in art-known models such as the acetylcholine abdominal constriction model in mice, the Randall-Selitto model in rats, and the hot-plate test in mice or rats. Another useful art-known test is the rat adjuvant arthritis test which is a useful model for assessing anti- inflammatory activity, anti-arthritic and anti-resorptive activity in a chronic, rather than an acute, model.
These and other appropriate tests for pharmacological activity are disclosed and/or referred to in U.S. Patent No. 4,130,666 issued to Moore on December 19, 1978; U.S. Patent No. 4,431,656 issued
February 14, 1984 to Katsumi, et al.; U.S. Patent No. 4,440,784 issued to Katsumi, et al. on April 3, 1984; Japanese Patent Application 85/54315 of Katsumi, et al., published March 28, 1985; European Patent Application No. 0,059,090 of Yamanuchi Pharmaceutical Company Ltd., published September 1, 1982; Opas, E.V., R.J. Bonney
& J.L. Humes, "Prostaglandin and Leukotriene Synthesis in Mouse Ears Inflamed by Arachadonic Acid", The Journal of Investigative Dermatology. Vol. 84, No. 4 (1985), pp. 253-256; Swingle, K.F., R.L Bell & G.G. Moore, "Anti-inflammatory Activity of Antioxidants", Anti- inflammatory and Antirheumatic Drugs. Vol. HI, Chapter 4, K.D.
Rainsford, ed., CRC Press, Inc., (1985), pp. 105-126; Adamkiewicz, V.W., W.B. Rice & J.D. McColl, "Antiphlogistic Effect of Trypsin in Normal and in Adrenalectomized Rats", Canadian Journal of Biochemistry & Physiology. Vol. 33 (1955), pp. 332-339; Sellye, H., "Further Studies Concerning the Participation of the Adrenal Cortex in the Pathogenesis of Arthritis", British Medical Journal. Vol. 2 (1949), pp. 1129-1135; and Winter, C.A, E.A. Risley & G.W. Nuss, "Carrageenin-lnduced Edema in Hind Paw of the Rat as an Assay for Antiinflammatory Drugs" Proceedings of Society of Experimental Biology and Medicine. Vol. 111 (1962), pp. 544-547; the disclosure of all these references are incorporated herein by reference.
The Compounds can be synthesized using the following procedures:
-< + HOOC-CHVCH COOCBj
Figure imgf000006_0001
To a 50 ml 3-neck flask equipped with argon inlet and thermometer is charged 2,6-di-t-butylphenol (5.5 gm, 26.6 mmole) (Schenectady Chemical Co.), methyl hydrogen succinate (4.0 gm, 30.3 mmole) (Aldrich Chemical Company), and 1 ,2-dichloroethane. The mixture is stirred for 10 minutes; the resulting mixture is not quite homogeneous. The starting temperature is 23°C; the mixture cools to 15°C during stirring. Trifluoroacetic anhydride (TFAA) (3.76 ml, 5.59 gm, 26.6 mmol) (Aldrich Chemical Co.) is added all at once. The temperature rises to 29°C. After about 20 minutes, the clear solution is pink in color. During the course of the reaction, the solution develops a deep lilac color.
The reaction solution (temperature = 27°C) is poured into a separatory funnel containing Et2θ (100 ml). The color goes to deep yellow. The solution is extracted two times with aqueous saturated K2CO3 solution, then saturated NaCI solution. The solution is dried over MgSO and >s concentrated in vacuo (using a rotary evaporator) to an oil that immediately solidifies. The crude material is dissolved in 90 ml hot hexane and allowed to cool, resulting in crystallization of slightly yellow needles which are separated from the supernatant by filtration. The crystals are washed twice with hexane and allowed to dry. The melting point of the resulting crystals of compound (1) above is 101°-103°C.
To a 100 ml round-bottom flask is charged compound (1) (1.6 gm, 5.0 mmol) and about 20 ml of methanol, stirring until compound (1) is dissolved. KOH (0.56 gm, 10 mmol) is added. The solution is heated with stirring to dissolve the KOH pellets. The solution is allowed to stir overnight.
The reaction solution is transferred to a 250 ml flask. The solvent is removed in vacuo. Using water and CH2CI2, the resulting white solid is transferred to a conical flask; concentrated (12N) HCI is added; and the material is transferred to a separatory funnel. The material is washed two times with water, dried, and concentrated in vacuo. The concentrate is dissolved in hot hexane. The volume is reduced to about 25 mL in vacuo, and the solution is cooled, resulting in crystallization. The crystals of compound (2) above (the acid
Compound) are separated from the supernatant by filtration. The crystals are washed twice with hexane and allowed to dry. The melting point of the resulting crystals of the acid Compound is 169.5°-174.0°C. The acid Compound (2.0 g, 6.5 mmol) and N,N'- dicyclohexylcarbodiimide (1.6 g, 7.8 mmol) are added to a 100 mL round-bottom flask, and 20 mL of CH2CI2 is added. The solution is cooled to 0°C, and an excess of ammonia (condensed by passing ammonia gas into CH2CI2 cooled to -78°C) is added in one portion. 4- Dimethylaminopyridine (32 rng, 0.26 mmol) is added and the reaction is stirred for 30 minutes. The N.N'-dicyclohexylurea which forms is filtered off and the CH2CI2 is washed with water and brine. The solution is dried over MgSO.4 and concentrated in vacuo. The crude product is triturated with hexane and then purified by silica gel flash chromatography with 5% MeOH in CH2CI2 as eluant. Crystallization of the resulting product from 60/40 ethyl acetate/hexane gives off-white crystals of the amide Compound, having a melting point of 155-156°C.
Compositions of the subject invention comprise a safe and effective amount of the Compounds, or a pharmaceutically-acceptable salt of the acid Compound, and a pharmaceutically-acceptable carrier. As used herein, "safe and effective amount" means an amount of a Compound sufficient to significantly induce a positive modification in the condition to be treated, but low enough to avoid serious side effects (at a reasonable benefit/risk ratio), within the scope of sound medical judgement. A safe and effective amount of a Compound will vary with the particular condition being treated, the age and physical condition of the patient being treated, the severity of the condition, the duration of the treatment, the nature of concurrent therapy, the particular pharmaceutically-acceptable carrier utilized, and like factors within the knowledge and expertise of the attending physician.
Compositions of the subject invention preferably comprise from about 0.1% to about 99.9% by weight of a Compound, more preferably from about 20% to about 80%, and most preferably from about 40% to about 70%.
In addition to the Compound, the compositions of the subject invention contain a pharmaceutically-acceptable carrier. The term "pharmaceutically-acceptable carrier", as used herein, means one or more compatible solid or liquid filler diluents or encapsulating substances which are suitable for administration to a human or lower animal. The term "compatible", as used herein, means that the components of the composition are capable of being commingled with the Compound, and with each other, in a manner such that there is no interaction which would substantially reduce the pharmaceutical efficacy of the composition under ordinary use situations.
Pharmaceutically-acceptable carriers must, of course, be of sufficiently high purity and sufficiently low toxicity to render them suitable for administration to the human or lower animal being treated.
Some examples of substances which can serve as pharmaceutically-acceptable carriers or components thereof are sugars, such as lactose, glucose and sucrose; starches, such as comstarch and potato starch; cellulose and its derivatives, such as sodium carboxymethyl cellulose, ethyl cellulose, cellulose acetate; powdered tragacanth; malt; gelatin; talc; solid lubricants, such as stearic acid, magnesium stearate; calcium sulfate; vegetable oils, such as peanut oil, cottonseed oil, sesame oil, olive oil, corn oil and oil of theobroma; polyols such as propylene glycol, glycerin, sorbitol, mannitol, and polyethylene glycol; algenic acid; emulsifiers, such as the Tweens®; wetting agents such as sodium lauryl sulfate; coloring agents; flavoring agents, excipients; tableting agents; stabilizers; antioxidants; preservatives; pyrrogen-free water; isotonic saline; and phosphate buffer solutions.
The choice of a pharmaceutically-acceptable carrier to be used in conjunction with a Compound is basically determined by the way the Compound is to be administered.
If the Compound is to be injected, the preferred pharmaceutically-acceptable carrier is sterile, physiological saline, with blood compatible suspending agent, the pH of which has been adjusted to about 7.4. Suitable pharmaceutically-acceptable carriers for topical application include those suited for use in lotions, creams, gels and the like. Topical compositions preferably contain from about 1 % to about 50% of an emollient.
The preferred mode of administering the Compound is orally. The preferred unit dosage form is therefore tablets, capsules and the like, comprising a safe and effective amount of the Compound, which is preferably from about 5 mg to about 3500 mg, more preferably from about 10 mg to about 1000 mg, and most preferably from about 25 mg to about 600 mg. The pharmaceutically-acceptable carriers suitable for the preparation of unit dosage forms for oral administration are well- known in the art. Their selection will depend on secondary considerations like taste, cost, and shelf stability, which are not critical for the purposes of the subject invention, and can be made without difficulty by a person skilled in the art.
Particularly preferred oral composition carriers suitable for compositions of the subject invention are disclosed in pending U.S. Patent Application Serial Nos. 07/732,951 *of Kelm & Bruns, filed July
19, 1991, entitled "Pharmaceutical Compositions of Tebufelone", and 07/885,932 of Kelm & Dobrozsi, filed May 19, 1992, entitled "Solid Dispersion Compositions of Tebufelone", hereby incorporated herein by reference. Another aspect of the subject invention is methods for treating diseases characterized by inflammation by administering a safe and effective amount of a Compound to a human or lower animal in need of such treatment. The preferred mode of administration is oral, but other known methods of administration are contemplated as well, e.g., dermatomucosally (for example, dermally, rectalfy and the like) and perenterally (for example, by subcutaneous injection, intramuscular injection, intraarticular injection, intravenous injection and the like). Ocular administration and inhalation are also included. Thus specific modes of administration include, without limitation, oral, transdermal, mucosal, sublingual, intranasal, intramuscular, intravenous, intraperitoneal, subcutaneous and topical administration.
The term "diseases characterized by inflammation", as used herein, means conditions which are known to involve inflammation, such as arthritis (e.g., rheumatoid arthritis, osteoarthritϊs, psoriatic arthritis, juvenile arthritis, Reiter's syndrome, infectious arthritis, and ankylosing spondylitϊs, systemic lupus, erythematosus and gout), as well as the presence of inflammation whether or not it is associated with an identifiable disease. Diseases characterized by inflammation further include inflammation of the gastrointestinal tract, including the oral cavity (e.g., inflammation associated with gingivitis or periodontal disease) and bowels (e.g., inflammation associated with Inflammatory Bowel Disease); inflammation associated with dermatological diseases
(*see page 10 for equivalent application) (e.g., psoriasis); and inflammation associated with the respiratory tract (e.g., asthma, bronchitis).
Preferred doses of the Compounds range from about 0.2 mg/kg to about 70 mg/kg, more preferably from about 0.5 mg/kg to about 12 mg/kg. Such doses are preferably administered from about once to about six times daily, more preferably from about twice to about four times daily.
The following nonlimiting examples illustrate the subject invention. Example 1
Pharmaceutical compositions in the form of tablets are prepared by conventional methods, such as mixing and direct compaction, formulated as follows:
Ingredient Quantity (mb per tablet)
Amide Compound 200
Microcrystalline Cellulose 100
Sodium Starch Glycolate 30
Magnesium Stearate 3 When administered orally two times daily, the above composition significantly reduces the inflammation in a patient suffering from rheumatoid arthritis. A significant benefit is also achieved by twice daily administration of this composition to a patient suffering from osteoarthritis. Example 2
A pharmaceutical composition in capsule form is prepared by conventional methods, formulated as follows:
Ingredient Quantity (mg per capsule)
Acid Compound 200
Lactose To fill to volume of capsule
The above capsule administered orally once a day substantially reduces the symptomology of a patient afflicted with rheumatoid arthritis or osteoarthritis.
While particular embodiments of the subject invention have been described, it would be obvious to those skilled in the art that various changes and modifications to the compositions disclosed herein can be made without departing from the spirit and scope of the invention. It is intended to cover, in the appended claims, all such modifications that are within the scope of this invention.

Claims

1. A pharmaceutical composition comprising a pharmaceutically-acceptable carrier, characterized in that the composition comprises a safe and effective amount of the compound 4-(3,5-bis(1,1-dimethylethyl-4-hydroxyphenyl)-4-oxobutanamide, or 4-(3,5-bis(1,1-dimethylethyl)-4-hydroxyphenyl)-4-oxobutanoic acid, or a pharmaceutically-acceptable salt thereof.
2. A pharmaceutical composition in dosage unit form comprising a pharmaceutically-acceptable carrier, characterized in that the composition comprises from about 5 mg to about 3500 mg of the compound 4-(3,5-bis(l,l-dimethylethyl-4-hydroxyphenyl)- 4-oxobutanamide, or 4-(3,5-bis(1,1-dimethylethyl)-4-hydroxy¬ phenyl)-4-oxobutanoic acid, or a pharmaceutically-acceptable salt thereof.
3. The composition of Claim 2 wherein the dosage unit form, preferably a tablet or capsule, comprises from 10 mg to
1000 mg, preferably 10 mg to 600 mg, of the compound.
4. The composition of any of Claims 1-4 wherein the compound is the amide compound.
5. Use of a compound for manufacture of a medicament for treating a disease characterized by inflammation, characterized in that the compound is 4-(3,5-bis(l,l-dimethylethyl-4-hydroxy- phenyl)-4-oxobutanamide, or 4-(3,5-bis(l,l-dimethylethyl)-4- hydroxyphenyl)-4-oxobutanoic acid or a pharmaceutically-accep¬ table salt thereof.
6. The use of Claim 5 wherein the disease is rheumatoid arthritis.
7. The use of Claim 5 wherein the disease is osteo¬ arthritis.
8. The use of any of Claims 5-7 wherein the compound is the amide compound.
9. A compound 4-(3,5-bis(l,1-dimethylethyl-4-hydroxy¬ phenyl )-4-oxobutanamide.
ιo. A method of treating a disease characterized by inflammation by administering a safe and effective amount of the compound 4-(3,5-bis(1,1-dimethylethyl-4-hydroxyphenyl)-4-oxo¬ butanamide, or 4-(3,5-bis(l,l-dimethylethyl)-4-hydroxyphenyl)- 4-oxobutanoic acid or a pharmaceutically-acceptable salt thereof to a human or lower animal in need of such treatment.
11. The method of Claim lOwherein the disease is rheumatoid arthritis.
12. The method of Claim 10 wherein the disease is osteoarthritis.
13. The method of Claim ιo wherein from about 0.2 mg/kg to about 70 mg/kg of the compound is administered from about 1 to about 6 times daily.
14. The method of Claim 10 wherein from about 0.5 mg/kg to about 12 mg/kg is administered from about 1 to about 4 times daily.
15. The method of any of Claims10-14 wherein the compound is the amide compound.
PCT/US1992/008742 1991-10-16 1992-10-12 Di-tert-butylphenol compounds useful as anti-inflammatory agents WO1993007865A1 (en)

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AU2875992A (en) 1993-05-21
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